Organization Active NPI

Shea Consulting Group PLLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1417520768
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHEA CONSULTING GROUP PLLC
Practice address
1732 Yosemite St
Denver, CO 80220-5404
Phone
(720) 579-2226
Fax
(970) 360-1531
NPI assigned
Jul 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy P Shea, PSY.D.NPI 1144565094
Title
Neuropsychologist
Phone
(720) 579-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1732 Yosemite St
Denver, CO 80220-5404

Mailing address

303 S Broadway Ste 200-301
Denver, CO 80209-1558
Phone (720) 579-2226

Other names 1

  • Colorado Brain Injury Center Doing business as

National Provider Directory

National Provider Directory

Locations

303 S Broadway
Ste 200301
Denver, CO 80209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1417520768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY STE 200-301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091558",
            "telephone_number": "720-579-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205404",
            "telephone_number": "720-579-2226",
            "fax_number": "970-360-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA CONSULTING GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "720-579-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Brain Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.